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The Legacy Rehab & Care Center

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About The Legacy Rehab & Care Center

General Information

Legal Business NameSilver Ridge Management Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 8, 1985 (32 years)
Capacity120
Residents103
Percent Occupied86%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Legacy Rehab & Care Center

The Legacy Rehab & Care Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Arizona Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 7, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

November 4, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Legacy Rehab & Care Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 25min
ReportedExpected
CNA
60min
35min
ReportedExpected
LPN
35min
55min
ReportedExpected
RN
4hr
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.9%
99.0%
99.0%
95.2%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
98.8%
95.5%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
58.3%
61.3%
-
54.2%
Q1 2015Q2 2015Q3 2015AZ
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.2%
20.7%
18.8%
17.5%
Q1 2015Q2 2015Q3 2015AZ
Received an Antipsychotic Medication
17.6%
9.4%
9.5%
14.6%
Q1 2015Q2 2015Q3 2015AZ
Need for Help with ADLs has Increased
3.4%
2.6%
4.1%
10.2%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
7.7%
7.2%
8.3%
6.7%
Q1 2015Q2 2015Q3 2015AZ
Lose Too Much Weight
5.7%
9.4%
8.1%
5.9%
Q1 2015Q2 2015Q3 2015AZ
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.1%
Q1 2015Q2 2015Q3 2015AZ
Have Depressive Symptoms
6.6%
8.4%
4.8%
4.8%
Q1 2015Q2 2015Q3 2015AZ
With a Urinary Tract Infection
1.1%
2.3%
1.2%
3.0%
Q1 2015Q2 2015Q3 2015AZ
Experiencing One or More Falls with Major Injury
7.4%
3.2%
3.0%
3.5%
Q1 2015Q2 2015Q3 2015AZ
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015AZ
Were Physically Restrained

Quality Measures for Short Stay Residents

93.0%
97.5%
97.7%
88.6%
Q1 2015Q2 2015Q3 2015AZ
Assessed and Appropriately Given the Pneumococcal Vaccine
93.4%
87.6%
87.6%
87.4%
Q1 2015Q2 2015Q3 2015AZ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
4.6%
9.1%
9.5%
19.8%
Q1 2015Q2 2015Q3 2015AZ
Self Report Moderate to Severe Pain
2.9%
2.6%
7.8%
1.9%
Q1 2015Q2 2015Q3 2015AZ
Newly Received an Antipsychotic Medication
0.0%
0.8%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015AZ
With Pressure Ulcers That Are New or Worsened